| Doctor Name: | BRENDA SUE MCCULLOUGH |
| NPI Number: | 1265574370 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 534073 |
| Business Practice Address: | 107 W 30th Ave Pampa, TX - 790652809 |
| Business Phone Number: | 8066884205 |
| Business Fax Number: | 8066884211 |
| Mailing Address: | 107 W 30th Ave, PAMPA |
| State: | TX |
| Postal Code: | 790652809 |
| Phone Number: | 8066884205 |
| Fax Number: | 8066884211 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 534073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |